| NPI | 1083643100 |
|---|---|
| Former Legal Business Name | OSTEOPATHIC MEDICAL ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | JERRY L HAMAN Boss 660-627-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |